Job burnout among nurses in Iran: a systematic review and meta-analysis

Background: Job burnout is a major problem among nurses. The three dimensions of job burnout include emotional exhaustion (EE), depersonalization (DP), and low personal accomplishment (PA). Objectives: The aim of this study was to determine the mean of job burnout among nurses in hospitals affiliate...

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Main Authors: Roohollah Askari, Hossein Fallahzadeh Abarghouei, Majid Heidarijamebozorgi, Zahara Keyvanlo, Mohammad Kargar
Format: Article
Language:English
Published: Kashan University of Medical Sciences 2021-01-01
Series:Nursing and Midwifery Studies
Subjects:
Online Access:http://www.nmsjournal.com/article.asp?issn=2322-1488;year=2021;volume=10;issue=2;spage=65;epage=72;aulast=Askari
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author Roohollah Askari
Hossein Fallahzadeh Abarghouei
Majid Heidarijamebozorgi
Zahara Keyvanlo
Mohammad Kargar
author_facet Roohollah Askari
Hossein Fallahzadeh Abarghouei
Majid Heidarijamebozorgi
Zahara Keyvanlo
Mohammad Kargar
author_sort Roohollah Askari
collection DOAJ
description Background: Job burnout is a major problem among nurses. The three dimensions of job burnout include emotional exhaustion (EE), depersonalization (DP), and low personal accomplishment (PA). Objectives: The aim of this study was to determine the mean of job burnout among nurses in hospitals affiliated to Medical Sciences Universities in Iran. Methods: This was a systematic review and meta-analysis. An online search was performed in the PubMed, Web of Sciences, Scopus, Google Scholar, Scientific Information Database, Medlib, Iranmedex, Magiran, Civilica, Noormags, and Irandoc databases. The search keywords were “burnout,” “job burnout,” “occupational burnout,” “nurses,” “nursing staff,” and “Iran.” Critical appraisal of eligible studies was performed using the Critical Appraisal Skills Program checklist. The first author's name, publication year, sample size, and the mean scores and standard error values of the different dimensions of job burnout were extracted from each included study. The random-effects and the fixed-effect models were used for the meta-analysis. The Cochran's Q test, the I2 index, and the Egger's regression analysis were used. Results: Nineteen studies with a total sample of 3926 nurses were included in the meta-analysis. The overall means of the EE, DP, and low PA dimensions of job burnout were 21.19 (95% confidence interval [CI]: 19.28–23.11), 7.85 (95% CI: 6.26–9.43), and 28.89 (95% CI: 27.10–30.67), respectively. The I2 index values of these dimensions were, respectively, 96.6%, 99.4%, and 97.8%, indicating high heterogeneity among the studies. The Egger's regression analysis showed that there was no evidence of publication bias in the studies (P = 0.08). Conclusion: Job burnout among nurses in Iran is moderate in the EE and the DP dimensions and high in the low PA dimension. Strategies are needed to improve nurses' work conditions, fulfill their needs, and thereby, reduce their job burnout.
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spelling doaj.art-47a2a5a4107c4075af2ac6b27531c6312023-09-02T10:24:53ZengKashan University of Medical SciencesNursing and Midwifery Studies2322-14882322-16742021-01-01102657210.4103/nms.nms_48_20Job burnout among nurses in Iran: a systematic review and meta-analysisRoohollah AskariHossein Fallahzadeh AbarghoueiMajid HeidarijamebozorgiZahara KeyvanloMohammad KargarBackground: Job burnout is a major problem among nurses. The three dimensions of job burnout include emotional exhaustion (EE), depersonalization (DP), and low personal accomplishment (PA). Objectives: The aim of this study was to determine the mean of job burnout among nurses in hospitals affiliated to Medical Sciences Universities in Iran. Methods: This was a systematic review and meta-analysis. An online search was performed in the PubMed, Web of Sciences, Scopus, Google Scholar, Scientific Information Database, Medlib, Iranmedex, Magiran, Civilica, Noormags, and Irandoc databases. The search keywords were “burnout,” “job burnout,” “occupational burnout,” “nurses,” “nursing staff,” and “Iran.” Critical appraisal of eligible studies was performed using the Critical Appraisal Skills Program checklist. The first author's name, publication year, sample size, and the mean scores and standard error values of the different dimensions of job burnout were extracted from each included study. The random-effects and the fixed-effect models were used for the meta-analysis. The Cochran's Q test, the I2 index, and the Egger's regression analysis were used. Results: Nineteen studies with a total sample of 3926 nurses were included in the meta-analysis. The overall means of the EE, DP, and low PA dimensions of job burnout were 21.19 (95% confidence interval [CI]: 19.28–23.11), 7.85 (95% CI: 6.26–9.43), and 28.89 (95% CI: 27.10–30.67), respectively. The I2 index values of these dimensions were, respectively, 96.6%, 99.4%, and 97.8%, indicating high heterogeneity among the studies. The Egger's regression analysis showed that there was no evidence of publication bias in the studies (P = 0.08). Conclusion: Job burnout among nurses in Iran is moderate in the EE and the DP dimensions and high in the low PA dimension. Strategies are needed to improve nurses' work conditions, fulfill their needs, and thereby, reduce their job burnout.http://www.nmsjournal.com/article.asp?issn=2322-1488;year=2021;volume=10;issue=2;spage=65;epage=72;aulast=Askariiranjob burnoutmeta-analysisnursessystematic review
spellingShingle Roohollah Askari
Hossein Fallahzadeh Abarghouei
Majid Heidarijamebozorgi
Zahara Keyvanlo
Mohammad Kargar
Job burnout among nurses in Iran: a systematic review and meta-analysis
Nursing and Midwifery Studies
iran
job burnout
meta-analysis
nurses
systematic review
title Job burnout among nurses in Iran: a systematic review and meta-analysis
title_full Job burnout among nurses in Iran: a systematic review and meta-analysis
title_fullStr Job burnout among nurses in Iran: a systematic review and meta-analysis
title_full_unstemmed Job burnout among nurses in Iran: a systematic review and meta-analysis
title_short Job burnout among nurses in Iran: a systematic review and meta-analysis
title_sort job burnout among nurses in iran a systematic review and meta analysis
topic iran
job burnout
meta-analysis
nurses
systematic review
url http://www.nmsjournal.com/article.asp?issn=2322-1488;year=2021;volume=10;issue=2;spage=65;epage=72;aulast=Askari
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AT zaharakeyvanlo jobburnoutamongnursesiniranasystematicreviewandmetaanalysis
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